Wesley Vance Eastridge (NPI# 1457313439, PAC ID# 5799689873) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457313439 |
| PAC ID by PECOS | 5799689873 |
| Professional Enrollment ID | I20050103000884 |
| Full Name | Wesley Vance Eastridge |
| Organization Legal Name | MOUNTAIN REGION FAMILY MEDICINE P C |
| Address |
444 Clinchfield St Kingsport TN 37660-3858 |
| Gender | M |
| Credential | MD |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890699961 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| 440176 | INDIAN PATH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 390 Kane St, Gate City, VA 24251-2753 | 2763863411 | MOUNTAIN REGION FAMILY MEDICINE P C |
| 444 Clinchfield St, Kingsport, TN 37660-3858 | MOUNTAIN REGION FAMILY MEDICINE P C |
| Organization Legal Name | MOUNTAIN REGION FAMILY MEDICINE P C |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alysen M Carter | Family Medicine | Mountain Region Family Medicine P C | 390 Kane St, Gate City, VA 24251-2753 |
| Brent Baker | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Amanda Malone | Nurse Practitioner | Mountain Region Family Medicine P C | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 |
| Gregory L Demotts | Family Medicine | Mountain Region Family Medicine P C | 142 Meade Ave, Nickelsville, VA 24271-2108 |
| Zachary Linuel Sumpter | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Aaron K Metcalf | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Monna J. Nelms | Nurse Practitioner | Mountain Region Family Medicine P C | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 |
| Richard L Brandon | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Kingsport, TN 37660-3858 |
| Kevin D Misischia | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Kimberly D Roller | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Kingsport, TN 37660-3858 |
| Street Address |
444 CLINCHFIELD ST |
| City | KINGSPORT |
| State | TN |
| Zip | 37660-3858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Baker | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Sidney W Collins Jr. | General Surgery | Legacy Vein Center Pllc | 444 Clinchfield St, Suite 2811, Kingsport, TN 37660-3858 |
| Zachary Linuel Sumpter | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Aaron K Metcalf | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Andrew P Kramer | General Surgery | Wps Providers Inc | 444 Clinchfield St, Suite 2900, Kingsport, TN 37660-3858 |
| Richard L Brandon | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Kingsport, TN 37660-3858 |
| Kevin D Misischia | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Gregory Corradino | Neurosurgery | Blue Ridge Medical Management Corporation | 444 Clinchfield St, Suite 103, Kingsport, TN 37660-3859 |
| Elizabeth M. Jackson | General Surgery | Wps Providers Inc | 444 Clinchfield St, Suite 2900, Kingsport, TN 37660-3858 |
| Stephanie A Hart | General Surgery | Wps Providers Inc | 444 Clinchfield St, Suite 2900, Kingsport, TN 37660-3858 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
| Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Find all physicians in zip 37660 | |||
| City | KINGSPORT |
| Zip Code | 37660 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KINGSPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Wesley Vance Eastridge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.